Crystal Michelle Stultz OTR/L

NPI 1114187994 - Occupational Therapist - 225X00000X

NPI Details
NPI 1114187994
Gender Female
Enumeration Date 06/14/2008
Last Updated 06/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4406 LORETTA LN
BENTON AR, 72015-6290, US
Phone (501) 778-7662
Fax
Business Location
4406 LORETTA LN
BENTON AR, 72015-6290, US
Phone (501) 778-7662
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Arkansas
License Number OTR2172
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According to our database, Crystal Michelle Stultz OTR/L NPI is 1114187994, taxonomy code is 225X00000X and license number is OTR2172, license state is located at Arkansas. Crystal Michelle Stultz OTR/L physically located at 4406 Loretta Ln, Benton AR, 72015-6290. NPI Number Crystal Michelle Stultz OTR/L has the Individual type.

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1114187994 NPI number is provided on an as is basis without warranty of any kind. 1114187994 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Michelle Stultz OTR/L are for informational purposes only.